Fresh Pond Physical Therapy Astoria, P.c. in Astoria, NY - Medicare Physical Therapist Provider

Fresh Pond Physical Therapy Astoria, P.c. is a medicare enrolled "Physical Therapist" provider in Astoria, New York. Their current practice location is 4618 Broadway, Astoria, New York. You can reach out to their office (for appointments etc.) via phone at (718) 274-4200.

Fresh Pond Physical Therapy Astoria, P.c. is licensed to practice in New York (license number 015401-1) and it also participates in the medicare program. Fresh Pond Physical Therapy Astoria, P.c. is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1477819084.

Contact Information

	Fresh Pond Physical Therapy Astoria, P.c.
	4618 Broadway, Astoria, NY 11103-1628
	(718) 274-4200
	(718) 559-6784

Map and Direction

Healthcare Provider's Profile

Full Name	Fresh Pond Physical Therapy Astoria, P.c.
Type	Facility
Speciality	Physical Therapist
Location	4618 Broadway, Astoria, New York
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477819084
Provider Enumeration Date: 04/09/2012
Last Update Date: 05/20/2016

Medicare PECOS Information:

PECOS PAC ID: 6406089952
Enrollment ID: O20140507001622

Medical Identifiers

Medical identifiers for Fresh Pond Physical Therapy Astoria, P.c. such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477819084	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	015401-1 (New York)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Fresh Pond Physical Therapy Astoria, P.c. acts as a billing entity for following providers:

Provider Name	Liza Tan
Provider Type	Practitioner - Physical Therapist In Private Practice
Provider Identifiers	NPI Number: 1982628764 PECOS PAC ID: 3779542303 Enrollment ID: I20041007000747

Provider Name	Noreen D Lagman
Provider Type	Practitioner - Physical Therapist In Private Practice
Provider Identifiers	NPI Number: 1275667339 PECOS PAC ID: 3173680105 Enrollment ID: I20090319000036

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Fresh Pond Physical Therapy Astoria, P.c. is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Fresh Pond Physical Therapy Astoria, P.c. 6805 Fresh Pond Rd, Ridgewood, NY 11385-5200 Ph: (718) 456-2545	Fresh Pond Physical Therapy Astoria, P.c. 4618 Broadway, Astoria, NY 11103-1628 Ph: (718) 274-4200

Reviews and Comments

Physical Therapist in Astoria, NY

Jessica S Benardello, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3711 35th Ave, Suite 3c & 3g, Astoria, NY 11101 Phone: 718-706-7500
Maegan Aquino, PTRP, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2816 21st St, Astoria, NY 11102 Phone: 718-912-2865
Anjie Ace Garciano Zozobrado, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3272 Steinway St Ste B02, Astoria, NY 11103 Phone: 646-744-8903
Eleonor C Malinao, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3270 31st St, Astoria, NY 11106 Phone: 718-626-2699 Fax: 718-626-0923
Mr. Michael Torres Pulgo, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3250 44th St Apt 2r, Astoria, NY 11103 Phone: 917-499-1880 Fax: 917-499-1880
Ride Tady, Physical Therapist Medicare: Medicare Enrolled Practice Location: 3063 38th St, Astoria, NY 11103 Phone: 718-932-1269
Dr. Martha Holly Gold, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2331 29th St, 3k, Astoria, NY 11105 Phone: 917-359-9319

Fresh Pond Physical Therapy Astoria, P.c. - Medicare Physical Therapist in Astoria, NY